RICARDO BUDJAK MD PA
Osteopathic Medicine at Herschel St, Jacksonville, FL

License number
Florida ME73074
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: MS. RUTH BUDJAK
Title: OFFICE MANAGER
Phone: (904) 389-3581
Address
Address
2574 Herschel St, Jacksonville, FL 32204
National Provider ID: 1740463496
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about RICARDO BUDJAK MD PA at bizstanding.com

RICARDO BUDJAK, M.D., PA

Jacksonville, FL

Status:
Inactive
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Jan 29, 2001
Inactive since:
Apr 2, 2010
Addresses:
2574 Herschel St, Jacksonville, FL 32204 (Physical)
2574 Herschel Dr, Jacksonville, FL 32204 (Mailing)
State ID:
P01000021620
Business type:
Florida Profit Corporation
Ricardo Budjak, 4185 Venetia Blvd, Jacksonville, FL 32210 (Physical)
Agent:
Budjak, Ricardo,4185 Venetia Blvd, Jacksonville, FL 32210 (Physical)
FEI/EIN:
593690281

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